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Individual
ERIC L MIDDLETON
Active
Individual
ERIC L MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/06/2020
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